Individual
EVELYN M FALCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6625 MIAMI LAKES DR E, SUITE 383, MIAMI LAKES, FL 33014-2708
(305) 498-1306
(305) 726-0093
Mailing address
14602 ROSEWOOD RD, MIAMI LAKES, FL 33014-2658
(305) 498-1306
(305) 726-0093
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0005134
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000925647A
PEACHSTATE
GA
05
—
000925647A
—
GA
05
—
002243700
—
FL
01
—
10034878
AMERIGROUP
GA
01
—
326070
WELLCARE
GA
Enumeration date
11/08/2006
Last updated
04/09/2014
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